{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T14:24:51Z","timestamp":1764253491917,"version":"3.46.0"},"reference-count":11,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T00:00:00Z","timestamp":1696896000000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:sec>\n                    <jats:title>Key Clinical Message<\/jats:title>\n                    <jats:p>In resource limited settings, epidural anesthesia can be a safe option for elderly patients with aortic stenosis for lower abdominal surgeries as the hemodynamic changes are known to be less as compared to spinal or general anesthesia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Abstract<\/jats:title>\n                    <jats:p>Spinal or general anesthesia in an elderly patient with aortic stenosis is always a challenge for anesthesiologists. It is even more challenging in a resource limited setting. The marked hemodynamic changes associated with either spinal or general anesthesia increase the morbidity and mortality. We present a case of right inguinal hernia in a 71\u2010year\u2010old patient with hypertension, bradycardia, and moderate aortic stenosis planned for open mesh repair under sole epidural anesthesia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccr3.8034","type":"journal-article","created":{"date-parts":[[2023,10,11]],"date-time":"2023-10-11T00:58:34Z","timestamp":1696985914000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Inguinal hernia repair in an elderly patient with moderate aortic stenosis under sole epidural anesthesia: A case report"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0803-2782","authenticated-orcid":false,"given":"Sagar","family":"Devkota","sequence":"first","affiliation":[{"name":"Kulhudhuffushi Regional Hospital  Kulhudhuffushi Maldives"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yubaraj","family":"Thapa","sequence":"additional","affiliation":[{"name":"Kulhudhuffushi Regional Hospital  Kulhudhuffushi Maldives"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,10,10]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccr3.4192"},{"issue":"9","key":"e_1_2_12_3_1","first-page":"A5407","article-title":"Central regional anaesthesia in patients with aortic stenosis \u2010 a systematic review","volume":"64","author":"Johansson S","year":"2017","journal-title":"Dan Med J"},{"volume-title":"Miller's Anesthesia","year":"2014","author":"Miller R","key":"e_1_2_12_4_1"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000010964"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjaceaccp\/mkh014"},{"issue":"1","key":"e_1_2_12_7_1","first-page":"1","article-title":"Hypotension in spinal and epidural anesthesia","volume":"30","author":"Maroudi MH","year":"2008","journal-title":"Baharain Medical Bulletin"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/s1521-6896(02)00114-3"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annfar.2006.01.007"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjaceaccp\/mkq035"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s43465-019-00012-6"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjaceaccp\/mki001"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.8034","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T14:21:41Z","timestamp":1764253301000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.8034"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10]]},"references-count":11,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2023,10]]}},"alternative-id":["10.1002\/ccr3.8034"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.8034","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"type":"print","value":"2050-0904"},{"type":"electronic","value":"2050-0904"}],"subject":[],"published":{"date-parts":[[2023,10]]},"assertion":[{"value":"2023-06-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-09-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e8034"}}